An intramuscular (IM) injection is ordered for a 6-month-old child. The nurse should select the injection site of:
a. Dorsogluteal
b. Ventrogluteal
c. Vastus lateralis
d. Deltoid
C
The nurse would choose the vastus lateralis because it is well-developed at birth, it is the largest muscle mass, and it has the fewest vessels and nerves. The dorsogluteal is not fully developed until the child has walked for 1 to 2 years. The ventrogluteal should not be used until 18 months. The deltoid cannot be used for large volumes of medication or for medications that need to be administered into the deep muscle mass.
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